Orthokeratology, Ophthalmology FAQ

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Understanding Orthokeratology Lenses: Eye Health Concerns and Benefits

About Orthokeratology Lenses 1. I have noticed that when I wear orthokeratology lenses, I sometimes wake up in the morning with a lot of eye discharge, enough that it obstructs my vision. It feels abnormal, and upon closer inspection, my sclera appears slightly pink. I'm not...


Dr. Gao Pilin Reply:
Hello: 1. Eye discharge and redness: You mentioned that after wearing orthokeratology lenses, you experience a significant amount of eye discharge upon waking, which even affects your vision, and your sclera appears slightly pink. This may be due to prolonged use of the lenses ...

[Read More] Understanding Orthokeratology Lenses: Eye Health Concerns and Benefits


Long-Term Use of Eye Drops: Safety and Effects on Eye Health

Usage of Eye Drops Hello Dr. Gao, I previously inquired about your article #206983. I am currently returning for monthly check-ups, likely due to the continuous use of orthokeratology lenses. Each time, the doctor prescribes either Gentamicin eye drops or OcuSoft Antimicrobial ey...


Dr. Gao Pilin Reply:
Hello: Question 1: Regarding the eye drops you mentioned, <Hsin-Hui Gentamicin Eye Drops> and <Oasis Anti-Resistance Eye Drops>, these are both antibiotic eye drops primarily used to prevent or treat eye infections. The practice of using them once daily for an exten...

[Read More] Long-Term Use of Eye Drops: Safety and Effects on Eye Health


Understanding Eye Issues: Floaters, Flashes, and Dry Eyes Explained

Flashes, eye problems? Hello Doctor, thank you for answering some of my questions previously. I really appreciate it. I have floaters and wear orthokeratology lenses. I have some additional questions I would like to ask: 1. Recently, when I stare at a screen for a long time, I ...


Dr. Gao Pilin Reply:
Hello: 1. Seeing a flash of light when staring at a screen: This situation may be related to eye fatigue or visual overstimulation. When you focus on a screen for an extended period, the photoreceptors in the retina may produce brief visual afterimages, which is a normal phenom...

[Read More] Understanding Eye Issues: Floaters, Flashes, and Dry Eyes Explained


Common Eye Issues: Managing High Eye Pressure and Visual Disturbances

Eye problems Hello, Doctor. I have a few questions: 1. My intraocular pressure seems to be a bit high; do you have any methods to help lower it? 2. I wear orthokeratology lenses at night, but when I blink quickly in the dark, I see a circular light in the center of my vision. 3. ...


Dr. Gao Pilin Reply:
Hello: 1. Management of elevated intraocular pressure: - Pharmacological treatment: If intraocular pressure is elevated, topical medications to lower eye pressure are typically used. The specific medication should be based on the ophthalmologist's prescription. - L...

[Read More] Common Eye Issues: Managing High Eye Pressure and Visual Disturbances


Can Eye Protrusion Be Reversed? Understanding Myopia and Treatment Options

Can bulging eyes be restored? I have myopia with a prescription of -3.00 diopters in my left eye and -3.75 diopters in my right eye. It seems that my eyelids have thickened along with my myopia, transitioning from double eyelids to more of a monolid appearance. Is this related to...


Dr. Gao Pilin Reply:
Hello: Your myopia (left eye -300 degrees, right eye -375 degrees) may affect the appearance of your eyelids, but this is not a common phenomenon. Typically, higher degrees of myopia may cause the eyeball to protrude slightly, which can lead to the eyelids appearing thicker or ch...

[Read More] Can Eye Protrusion Be Reversed? Understanding Myopia and Treatment Options


Managing Complex Vision Issues: Myopia, Hyperopia, and Astigmatism in Teens

One eye has myopia with astigmatism, while the other eye has hyperopia with astigmatism, resulting in a significant disparity in vision? The patient is 14 years old, with hyperopia of +3.25 diopters and astigmatism of +0.75 diopters in the left eye, and myopia of -0.75 diopters a...


Dr. Gao Pilin Reply:
Hello: 1. The purpose of mydriatic agents is to paralyze the ciliary muscle, temporarily impairing the eye's ability to adjust focus. This helps relax the eye muscles for fitting glasses or examining the fundus, and can effectively suppress the progression of myopia, but it ...

[Read More] Managing Complex Vision Issues: Myopia, Hyperopia, and Astigmatism in Teens


Is Traditional Eye Exercise Safe for High Myopia and Cataracts?

Is the traditional Chinese eye exercise suitable for high myopia? Hello Dr. Gao, I was recently diagnosed with mild cataracts, and I have also undergone laser treatment for peripheral retinal issues. I remember the doctor mentioned it was not urgent and that the retina was thinni...


Dr. Gao Pilin Reply:
Hello: Regarding the traditional eye exercises, I personally believe they may not be very helpful for cataracts. Movements like closing the eyes and rolling the eyes may not be suitable for individuals with high myopia, as they could increase the risk of retinal detachment. Addit...

[Read More] Is Traditional Eye Exercise Safe for High Myopia and Cataracts?


Concerns About Atropine Use in Children for Eye Treatment

Pediatric Mydriatic Agent Issues Hello Dr. Liang, I have a 13-year-old child in the first year of junior high school. During a school vision screening, the left eye was measured at 0.6 and the right eye at 1.5. We went for a follow-up examination at an ophthalmologist, where the...


Dr. Liang Ce Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting an ophthalmologist at a major hospital. Wishing you good health. Thank you!

[Read More] Concerns About Atropine Use in Children for Eye Treatment


Understanding Eye Pain: Is It Related to Previous Injury?

Eye stinging? In October and November of last year, my right eye was hit at close range by a volleyball. At that moment, I experienced blurred vision, but I immediately applied ice. I later went to an ophthalmologist for an examination, and there was no significant damage. Howeve...


Dr. Gao Pilin Reply:
Hello: Being hit in the eye by a volleyball may cause minor injuries to the surface of the eyeball, and these small injuries could potentially have lingering effects. However, the initial examination showed no issues. The subsequent discomfort and stinging sensation while wearing...

[Read More] Understanding Eye Pain: Is It Related to Previous Injury?


Risks of Using Expired Artificial Tears: What You Need to Know

Expired artificial tears I recently accidentally used expired artificial tears while wearing orthokeratology lenses (the artificial tears appeared clear). What could happen? Also, my eyes feel uncomfortable, have redness, and are itchy.


Dr. Gao Pilin Reply:
Hello: Using expired artificial tears while wearing orthokeratology lenses may lead to some discomfort symptoms. The ingredients in expired artificial tears may have lost their efficacy or caused adverse reactions, which can result in eye discomfort, redness, and itching. If the ...

[Read More] Risks of Using Expired Artificial Tears: What You Need to Know


Can Doctors Detect the Use of Orthokeratology Lenses During Exams?

Orthokeratology lenses Hello, doctor. I would like to ask if my doctor can tell whether I have been wearing orthokeratology lenses during my examination, given that I usually wear them.


Dr. Gao Pilin Reply:
Hello: The use of orthokeratology lenses may show some specific changes during an eye examination, but this depends on the specifics of the examination and the last time you wore the lenses. 1. Corneal Changes: Wearing orthokeratology lenses may cause some temporary changes to ...

[Read More] Can Doctors Detect the Use of Orthokeratology Lenses During Exams?


Understanding Myopia Progression in Adults: Causes and Solutions

Concerns about the increase in myopia levels among adults who use their eyes intensively? Hello Dr. Gao, Due to my academic work, I have developed a routine of high-intensity eye use—approximately 6 hours of close reading of academic journals and about 3 hours of computer work ...


Dr. Gao Pilin Reply:
Hello: Regarding your recent eye condition, I would like to offer some suggestions. 1. The situation you mentioned, where "vision tends to stabilize and not increase significantly after adulthood," generally holds true. However, in cases like yours, where there is hig...

[Read More] Understanding Myopia Progression in Adults: Causes and Solutions


Blurred Vision in One Eye: Possible Causes and Concerns

Blurred vision in one eye when looking at nearby objects? Hello, doctor. I would like to ask about my recent issue with my right eye. When I try to see things up close, everything appears blurry. I have been wearing orthokeratology lenses, and I had an eye examination last week, ...


Dr. He Jianxian Reply:
Hello, Chen Meimei: If your vision is blurry when looking at things up close while wearing orthokeratology lenses, we need to check if the prescription of the lenses is too strong or if there is any corneal abrasion after wearing them. If the situation persists, it is advisable t...

[Read More] Blurred Vision in One Eye: Possible Causes and Concerns


Understanding Worsening Astigmatism: Causes and Relief Strategies

It seems that my astigmatism has been worsening? Since around the Lunar New Year this year, I have noticed that my astigmatism has worsened. When I look at streetlights, I see a large halo around them, and sometimes a faint rainbow effect. Certain streetlights and car headlights ...


Dr. He Jianxian Reply:
If you are wearing orthokeratology lenses and notice that the halos are becoming increasingly pronounced, it is advisable to return to the original fitting location for an examination to check if there is an issue with the lenses. Dr. Ho Chien-Hsien, Department of Ophthalmology, ...

[Read More] Understanding Worsening Astigmatism: Causes and Relief Strategies


Understanding Myopia Progression and Eye Health in Taiwan: Key Insights

Myopia degree 1. I started wearing orthokeratology lenses in sixth grade, with prescriptions of L: -6.75 and R: -6.25. After stopping for a year, my prescription changed to L: -6.50 and R: -5.75. Does this indicate that my myopia has worsened? 2. Are there many people in Taiwan...


Dr. Gao Pilin Reply:
Hello: 1. According to the data you provided, your left eye has changed from -675 diopters to -650 diopters, and your right eye has changed from -625 diopters to -575 diopters. This indicates a slight decrease in your myopia over the course of a year. 2. According to statistical ...

[Read More] Understanding Myopia Progression and Eye Health in Taiwan: Key Insights


Is Vision Recovery Possible Without Surgery or Contact Lenses?

Is it possible to restore vision? Is there a book titled "Vision Can Certainly Be Restored"? Is it really possible to restore vision without the use of surgery or orthokeratology? The content seems to focus more on training the eye muscles and cognitive exercises. Is it...


Dr. Gao Pilin Reply:
Hello: The recovery of vision is usually relatively difficult. Vision problems often require correction through methods such as glasses, contact lenses, or surgery, and cannot be fully restored through eye muscle training or cognitive exercises. When discussing vision and refract...

[Read More] Is Vision Recovery Possible Without Surgery or Contact Lenses?


Understanding Worsening Astigmatism: Symptoms and Solutions

It seems that my astigmatism has been worsening? Since around the Lunar New Year this year, I have noticed that my astigmatism has worsened. When I look at streetlights, I see a large halo around them, and sometimes a faint rainbow effect. Certain streetlights and car headlights ...


Dr. He Jianxian Reply:
Based on your description, it seems that there is significant light scattering, and since you are using orthokeratology lenses, it is advisable to return for a more thorough examination. Dr. Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.

[Read More] Understanding Worsening Astigmatism: Symptoms and Solutions


Do Children with Astigmatism Need Orthokeratology Lenses?

Is it necessary to wear orthokeratology lenses for astigmatism? Hello, Director He. My daughter, who is in the third grade of elementary school, has been nearsighted for over two years. Her recent prescription is R -3.50 with astigmatism of 0.75, and L -2.50 with astigmatism of 0...


Dr. He Jianxian Reply:
Hello Ms. Grasty: With such a low degree of astigmatism, there is generally no need for astigmatic lenses; regular orthokeratology lenses should provide good results. Director He Jianxian, Ophthalmology Department, Nantou Hospital.

[Read More] Do Children with Astigmatism Need Orthokeratology Lenses?


Does Orthokeratology Increase Eye Pressure? Understanding the Risks

Shaping plate issues? Hello, doctor. I recently discovered during my health check-up that my intraocular pressure is slightly elevated, around 22-23 mmHg. I usually wear orthokeratology lenses. Could wearing these lenses cause an increase in my intraocular pressure?


Dr. Gao Pilin Reply:
Hello: The orthokeratology lens is placed on the surface of the cornea and does not increase intraocular pressure.

[Read More] Does Orthokeratology Increase Eye Pressure? Understanding the Risks


Should I Get Glasses for My Increasing Myopia and Astigmatism?

Monocular myopia of -2.50 diopters? Hello doctor, I would like to ask you a question. My right eye is -2.50 diopters nearsighted, and my left eye has some astigmatism. Previously, when I visited an ophthalmologist, the doctor did not recommend glasses but advised me to cover one ...


Dr. Gao Pilin Reply:
Hello: Currently, the treatment methods for myopia control include the use of long-acting cycloplegics and the wearing of orthokeratology lenses. Of course, proper eye usage and vision care are also very important.

[Read More] Should I Get Glasses for My Increasing Myopia and Astigmatism?


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